ASPIRE365 CONNECTICUT NPI 1053086587

NPI Information

NPI: 1053086587
Provider Name: ASPIRE365 CONNECTICUT
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
679 STATE ST
NEW HAVEN, CT
ZIP 06511
Phone: (385) 352-9696
Get Directions

ASPIRE365 CONNECTICUT is an addiction medicine preventive medicine in New Haven, CT. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. ASPIRE365 CONNECTICUT NPI is 1053086587. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

679 STATE ST
NEW HAVEN, CT
ZIP 06511-509
Phone: (385) 352-9696

The provider's authorized official is Zachary Jenson .
The authorized official title is Ceo and has the following contact phone number (801) 556-1977.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 3/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
3	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
4	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
5	2083A0300X	Preventive Medicine	Addiction Medicine	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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